Knudtson, Kenneth J
Knudtson, Kenneth J is an individual health care provider with primary practice located at 2311 Yorkshire Drive Ste C, Brookings SD 57006-2446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Knudtson, Kenneth J can be contacted via phone (605) 692-7315.Contact Information
Primary practice address
2311 Yorkshire Drive Ste C
Brookings SD 57006-2446
Phone: (605) 692-7315
Fax: (605) 692-2615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4922 | South Dakota |
Profile Details
| NPI number | 1447234984 |
|---|---|
| LBN Legal business name | Knudtson, Kenneth J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Jul 1st, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447234984 | NPPES |
| South Dakota | MEDICAID | 6300590 |
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